Bilateral Asynchronous Renal Cell Carcinoma with Metastatic Involvement of the TongueReport as inadecuate




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Case Reports in PathologyVolume 2012 2012, Article ID 729642, 4 pages

Case Report

Maxillofacial Unit, Queen Victoria Hospital NHS Foundation Trust, Holtye Road, East Grinstead RH19 3DZ, UK

Regional Maxillofacial Unit, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK

Department of Histopathology, Queen Victoria Hospital NHS Foundation Trust, Holtye Road, East Grinstead RH19 3DZ, UK

Received 2 July 2012; Accepted 23 August 2012

Academic Editors: K. Aozasa, O. Hes, S. Pambuccian, and M. M. Picken

Copyright © 2012 Naseem Ghazali et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Renal cell carcinoma RCC has a propensity for distant organ metastasis and late recurrence, involving not only the ipsilateral but also contralateral kidney. Lingual metastasis by RCC is rare. We present an unusual case of bilateral asynchronous RCC. Involvement of the right kidney was discovered only after a metastatic tongue lesion was diagnosed. The original RCC had been treated by left nephrectomy 14 years previously. Due to end-stage primary pulmonary malignancy, and poor function of the remaining kidney, immunotherapy was unsuitable. Palliative local resection of the lingual metastasis alleviated functional difficulties and was preventative against airway obstruction, but the patient died five months later.





Author: Naseem Ghazali, Charlotte Davis, A. W. Barrett, and John V. Tighe

Source: https://www.hindawi.com/



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